医疗知识中台采纳行为网络演化博弈研究  

Research on the Evolutionary Game of Adopting the Medical Knowledge Middle Platform

作　　者：刘建月 马志强[1] 徐益斌 LIU Jianyue;MA Zhiqiang;XU Yibin(School of Management,Jiangsu University,Zhenjiang,Jiangsu 212013,China;School of Economics and Management,Southeast University,Nanjing,Jiangsu 211189,China)

机构地区：[1]江苏大学管理学院,江苏镇江212013 [2]东南大学经济管理学院,江苏南京211189

出　　处：《工业工程与管理》2024年第3期170-180,共11页Industrial Engineering and Management

基　　金：国家自然科学基金资助项目(71974082,72274082);江苏省社会科学基金资助项目(23GLC014)。

摘　　要：医疗知识中台的出现为辅助基层提质增效提供了新思路。基于单向转诊模式,结合复杂网络理论与演化博弈,探究头部医疗机构与全科医生采纳此技术的演化规律,分析节点间网络特性及其他要素对助推医疗知识中台落地的影响。结果显示:全科医生与头部医疗机构的采纳决策与实施医疗知识中台前后效益、成本改变量密切相关;受网络交互行为的影响,机构间耦合度越大,越有利于该技术的推广;全员采纳的速度与该技术实现的知识下沉效率正相关,与知识互动成本负相关;惩罚成本的增加延缓医疗知识中台的推广;医疗知识中台虽可延长平均服务时间、强化服务质量,但增加了医疗系统拥堵的风险。因此,需设置最优的服务时间阈值及兼顾正向与负向的多维激励机制。The emergence of the medical knowledge middle platform provides new ideas for realizing the sinking of high-quality medical knowledge and assisting general practitioners in improving quality and efficiency.To explore the behavioral evolution patterns of head medical institutions and general practitioners in adopting medical knowledge middle platform technologies,the one-way referral model combined with complex network theory and evolutionary game was established.The network characteristics and other key factors were also analyzed.The results showed that the adoption decision of general practitioners and head medical institutions is closely related to the change of benefits and costs before and after the implementation of the medical knowledge middle platform.The degree of coupling among medical institutions is more conducive to the promotion of platform technology due to the influence of network interaction behavior.The speed of adopting platform technology by all members is positively correlated with the efficiency of knowledge sinking achieved by this technology,and negatively correlated with the cost of knowledge interaction.The increase of penalty cost slows down the overall promotion speed of the technology.Although the medical knowledge middle platform can extend the average service time and strengthen the service quality,it also increases the risk of congestion in the medical system.Hence,an optimal service time threshold needs to be set,while considering multidimensional incentive mechanisms for positive and negative factors.

关 键 词：全科医生 医疗知识中台 知识下沉 复杂网络 博弈论 

分 类 号：R05[医药卫生] TP305[自动化与计算机技术—计算机系统结构]